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Trattamento percutaneo delle radicolopatie lombari dal ... · Patient 45 y.o. female with bilateral...

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Patient 45 y.o. female with bilateral progressive paraparesis in the last month. No other disease in anamnesis. Brain MR negative Case n.1 Case n.1 RM. Sequenze T1-W without contrast media and T2
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Page 1: Trattamento percutaneo delle radicolopatie lombari dal ... · Patient 45 y.o. female with bilateral progressive paraparesis in the last month. No other disease in anamnesis. Brain

Patient 45 y.o. female with bilateral progressive paraparesis in the last month. No other disease in anamnesis. Brain MR negative

Case n.1Case n.1

RM. Sequenze T1-W without contrast media and T2

Page 2: Trattamento percutaneo delle radicolopatie lombari dal ... · Patient 45 y.o. female with bilateral progressive paraparesis in the last month. No other disease in anamnesis. Brain

T2T2

GradientGradient--ecoeco

T1 T1 ––

coronal coronal without Gdwithout Gd

and T1and T1

axialaxial afterafter

GdGd

Page 3: Trattamento percutaneo delle radicolopatie lombari dal ... · Patient 45 y.o. female with bilateral progressive paraparesis in the last month. No other disease in anamnesis. Brain

Primitive melanocit melanoma.

.

Page 4: Trattamento percutaneo delle radicolopatie lombari dal ... · Patient 45 y.o. female with bilateral progressive paraparesis in the last month. No other disease in anamnesis. Brain

Male.39 y.o. Since 2 months superior arm weakness with increasing pain in the last week.. Brain MR negative.

T1T1

T2T2

Page 5: Trattamento percutaneo delle radicolopatie lombari dal ... · Patient 45 y.o. female with bilateral progressive paraparesis in the last month. No other disease in anamnesis. Brain

T1 +T1 +

GdGd

Page 6: Trattamento percutaneo delle radicolopatie lombari dal ... · Patient 45 y.o. female with bilateral progressive paraparesis in the last month. No other disease in anamnesis. Brain

controllo dopo sette giorni di terapia cortisonica ad alte dosi

T1 +T1 +

GdGd

Page 7: Trattamento percutaneo delle radicolopatie lombari dal ... · Patient 45 y.o. female with bilateral progressive paraparesis in the last month. No other disease in anamnesis. Brain

Primitive Linphoma

Page 8: Trattamento percutaneo delle radicolopatie lombari dal ... · Patient 45 y.o. female with bilateral progressive paraparesis in the last month. No other disease in anamnesis. Brain

Paz. di 46a., female, hypostenia in the last few days

T1 con GdT1 senza Gd T2

Page 9: Trattamento percutaneo delle radicolopatie lombari dal ... · Patient 45 y.o. female with bilateral progressive paraparesis in the last month. No other disease in anamnesis. Brain

T2DP

T2

Page 10: Trattamento percutaneo delle radicolopatie lombari dal ... · Patient 45 y.o. female with bilateral progressive paraparesis in the last month. No other disease in anamnesis. Brain

PtPt 55 y.o55 y.o withwith aa known known hematologic diseasehematologic disease

T1 senza MDCT1 senza MDC

Page 11: Trattamento percutaneo delle radicolopatie lombari dal ... · Patient 45 y.o. female with bilateral progressive paraparesis in the last month. No other disease in anamnesis. Brain

T1 senza MDCT1 senza MDC

Page 12: Trattamento percutaneo delle radicolopatie lombari dal ... · Patient 45 y.o. female with bilateral progressive paraparesis in the last month. No other disease in anamnesis. Brain

Diversi pazienti affetti da “talassemia intermedia”

T1T1

T2T2 T2T2

Page 13: Trattamento percutaneo delle radicolopatie lombari dal ... · Patient 45 y.o. female with bilateral progressive paraparesis in the last month. No other disease in anamnesis. Brain

TC senza MDCTC senza MDC

T1 senza MDCT1 senza MDC

Page 14: Trattamento percutaneo delle radicolopatie lombari dal ... · Patient 45 y.o. female with bilateral progressive paraparesis in the last month. No other disease in anamnesis. Brain

EXTRA-MEDULLARY ERITROPOIESI

Page 15: Trattamento percutaneo delle radicolopatie lombari dal ... · Patient 45 y.o. female with bilateral progressive paraparesis in the last month. No other disease in anamnesis. Brain

CAUSE

••CONGENITAL HEMOGLOBINOPATYCONGENITAL HEMOGLOBINOPATY

intermedia thalassemia MORE FREQUENT (24-65%), sferocitosi, varie anemie emolitiche

•• ACQUIRED PATHOLOGYACQUIRED PATHOLOGY

MIELOFIBROSIS

LEUCEMIE

LINFOMI

• CARCINOMI (LIVER

• FIBROSARCOMI

• PAGET

•RARE • POLICITEMIA

• M. DI GAUCHER

• Cause sconosciute....

Page 16: Trattamento percutaneo delle radicolopatie lombari dal ... · Patient 45 y.o. female with bilateral progressive paraparesis in the last month. No other disease in anamnesis. Brain

LOCATION

• FREQUENT

• PARAVERTEBRALE (soprattutto dorsale)

• SPLEEN

• LIVER

• KIDNEYS

• RARE

• ADRENAL - CUTE /

•LINFONODES – PLEURA – POLMONI -TRACHEA

• ENDOCRANIC

• PERITONEAL / RETRO-PERITONEAL

• MENINGI

• REGIONE SELLARE

• APICE ORBITARIO


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